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Asia Health and Wellbeing Initiative

1

Office of Healthcare Policy, Cabinet Secretariat, Government of Japan

Desirable Direction regarding Medical & Elderly Care in JapanCu

rren

t Situ

atio

nDe

sirab

le D

irect

ion

Medical Intensive Elderly CareRehabilitation

ElderlyCare

MedicalElderly Care

Intensive Elderly Care

Care WorkerPhysical Therapist, Occupational Therapist,Speech Therapist

Medical(Doctor, Nurse)

Specialist

（Recovery）

（Recovery）（Recovery）

（Recovery）（Recovery）（Recovery）

Home

Hospital/Elderly Care Facility

Frailty Prevention

Increase of persons living

at home

Long-term care ServiceDemand-Supply GapsFunctional

Recovery Care

Disease Prevention

Rehabilitation

Functional Recovery Care

Home




2

Technology of Rehabilitation

Purpose

Cerebral infarctionRight leg paralysis

Diagnosis“I want to run

without the help of a

stick. （I want to take a trip

again, go to a concert.）”

Ms.K 78years old Housewife

Intensive rehabilitationOnce / month（7days）

After 2 months, she can run without the help of a stick

Example 1

Cerebral infarctionAphasia, Dysmnesia

“I want to indulge in

some negotiations

for my business. “

Mr.F 43years old Manager of Design & Construction companyExample 2Intensive rehabilitation

Once / monthImprovement of short-term

memory and confusion during conversations

Diagnosis

3

Purpose

Applicationof

FunctionalRecovery

Care

Technology of Functional Recovery Care for Elder People

6 months after

4

Hydration

Defecation Nutrition

Exercise

Diagnosis:

Hemiparesis Impossible to

intentionally communicate Tube feeding (PEG) Requiring complete assistance

(Bedridden, use of diapers)

Example１

Example２

He can take a walk with his wife!

He can dance at summer festival!

She has recovered and become able to eat what she wants!

Situations:

Diagnosed with Alzheimer-type dementia

Unsteady walking Bedridden except for diet Urinary incontinence Hallucinogenic symptom Negativism / Excitement

Asia Health and Wellbeing Initiative（‘AHWIN’）

〇‘AHWIN’ aims to amass bilateral and regional cooperation, business and projects on aging-related challenges in the Asian region.

5First approach image suggested by Japan

Asia

Training

Building economic ties among industries related to elderly care

Training for professional elderly care service such as Functional Recovery Care

Japan

Enrichment of human resources for professional elderly care service such as Functional Recovery Care

〇The goal of the initiative is to create a vibrant and healthy society where people can enjoy long and productive lives, and to contribute to the economic growth.

Career Development

＜Viet Nam＞＜Japan＞

First Approach Models between Viet Nam and Japan under ‘AHWIN’

HModel route 1

Model route 2

Technical intern managedby authorized organization

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Additional requirements under ‘AHWIN’

Additional requirement under ‘AHWIN’

Technical intern managed by individual enterprise

Model route 3

Model route 4

・・・

New careeron care worker

On the job training

Technology offer and trainingof Functional Recovery Care

Industry development Elderly care services

New Technical Intern Trainee System and ‘AHWIN’Le

gal F

ram

ewor

k of

Te

chni

cal I

nter

n Tr

aini

ng P

rogr

am

ＭＯＣ

Sending Technical Intern Trainee of elderly care

Sending Technical Intern Trainee(all job categories)

○ Screening / certifying of sending organization

○Certifying list of Technical Intern Trainee candidates

Asia Japan

The

Asia

Hea

lth

and

Wel

lbei

ng In

itiat

ive

Supervising organization

Organization implementing Technical Intern Training

(business operator)Entry Return

• Listing elderly care providers which implement Functional Recovery Care (Conducting Technical Intern Training of Functional Recovery Care)

• Support for international expansion of Functional Recovery Care

• Promotion of local elderly care services focusing on Functional Recovery Care

• Certification of high quality Japanese language school• Development of high quality Japanese language teacher

Sending organization

Local elderly care business operator, etc.

Education institutions such as Japanese language school

Asia

Public Notice

Act○Improvement of the Technical Intern Training Program

○Extension of the period of accepting Technical Intern Trainee

Requirements for adding the job category of elderly care ○ Standard of certifying Technical Intern Training

Plan○ Standard of certifying supervising organization

etc.

○ Sending organization

7

Additional Requirements under ‘AHWIN’

体制（案）

INTERNATIONAL ORGANIZATION

Special Committee on International Health Strategy, Liberal Democratic Party of Japan LDP

［Chair］ Hiroto IzumiOffice of Healthcare Policy, Cabinet Secretariat

［Members］Ministry of Justice (MOJ)Ministry of Finance (MOF)Ministry of Foreign Affairs (MOFA)Ministry of Economy, Trade and Industry (METI)Ministry of Health, Labour and Welfare (MHLW)Ministry of Agriculture, Forestry and Fishery (MAFF)Ministry of Land, Infrastructure, Transport and

Tourism (MLIT)Ministry of Education, Culture, Sports, Science and

Technology (MEXT)

GOVERNMENT OF JAPAN

Asia Health and Wellbeing Initiative Promotion System in Japan

PRIVATE SECTOR COORDINATION

Policy dialogue and disseminationJapan Center for international Exchange

Keizo TakemiChair, Special Committee on International Health Strategy, LDP

Hiroto IzumiChair, Asia Health and Wellbeing Initiative Promotion Council

Shuichi NakamuraChair, Private Sector Consortium (Chairman, Medical Care and Welfare Policy Research Forum)

Minister of ‘MHLW’

Review of systems of care and services in Japan

Training and movement of elderly care workers

Building economic ties among industries related to elderly care industry

Private Sector Consortiumof

Asia Health and Wellbeing Initiative

［Chair］ Shuichi Nakamura

ＷＨＯKobe Centre

Economic Research Institute for ASEAN and East Asia (ERIA)

［Chair］ Keizo Takemi

Asia Health and Wellbeing Initiative Promotion Council (WG)

Wor

king

gro

ups

8

9

- The Platform for Public and Private Sector Cooperation -

Feb 9th, 2017

Consortium of the Asia Health and Wellbeing Initiative

300 private companies20 organizations includingERIA, WHO, JCIE, JETRO, JICA

( as of Aug, 2017)

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Japanese latest and most useful innovations in the area of elderly care related products and services

Disease Prevention / Rehabilitation

Trainer of Functional Recovery Care

Leg pedaling wheel chair

Frailty Prevention & Functional Recovery Care21

3

Tech

nolo

gy

adva

ntag

eSi

mila

rity

in b

ody

size

or li

fest

yle

Walking support machineAdult Diaper / Padfor Functional Recovery Care

Toilet timing predicting wearable device

Personal care bathfor Functional Recovery Care

Device for experienceof dementia (Virtual Reality)

Humanoid with Conversational ability

Electric folding bed

Provider of Local Medical Treatment and Welfare Cooperation Network System4Medical Care Service FB Group

Tetsuyu Healthcare Holdings Kameda Group + Mediva + Tokyu Land

Honda

FUJISOFT

OG Wellness PARAMOUNT BED

Triple WSilver Wood

TESS

Unicharm

NEXT Sharing

Medical Elderly Care

Intensive Elderly Care

（Recovery）（Recovery）（Recovery）Frailty Prevention

Increase of persons living

at homeDisease Prevention

Rehabilitation

Home




12

2

2

1

Automatic CPAP System withIntegrated Hummax Humidification

Metran

Fuyo GroupAI system for collaboration in medical treatment and elderly care

Polaris + Morito

Walking supportmachine

Measuring equipment for locomotive syndrome

ICT system for Telecare

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Integrated Approach of Services for Health and Longevity

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Medical

Elderly Care―Functional Recovery Care－

Prevention―Meal, Exercise, etc.－

The percentage of population aged 65 and over who has received elderly care in Wako city.

Wako City

National Average

11.4%12.9%

14.4%

15.7%16.3% 16.7% 16.4% 16.5% 16.5% 16.8%

17.4%

9.0%10.5%

11.5% 11.6% 11.9% 12.0%11.3%

10.2% 10.1% 10.0% 10.2%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Local efforts in the healthy ageing society

Layers of Various Services and Industries Contribute to Healthier Lives

Life―Housing, Community development, etc. －

Nursing Care Level（Time for Long-term Care）

Medical Needs Level （Patient's severity ）

Long-term Care

Prevention/Treatment/Rehabilitation/Functional Recovery Care in Medical & Long-term Care Service Supply Current Situation（Image）

12

Severe stage

of diseases

Recovering abilities to perform desired activities and participate in social communities

Recovering abilities of instrumental activities of daily living (IADL) such as shopping, cooking, etc.

Recovery stage or Chronic diseases

Mild

diseases

Independent Daily Life at any place

Recovering abilities of activities of daily living (ADL) such as diet, defecation, sitting, standing, walking, etc.

Medical

Chronic Phase

Advanced-Acute Phase

Acute Phase

Acute Term Rehabilitation

Recovery Phase

Recovery Term Rehabilitation

Maintenance Term Rehabilitation

Maintenance TermRehabilitation

Frai

lM

edic

al C

are a

nd L

ong-

term

Car

e Inte

grat

ion

Clinic

Requ

iring

sup

port

Special nursing home for the elderly

In Home Services Re

quiri

nglo

ng-t

erm

car

eLe

vel

Health care facilities for the nursing care

Not

cov

ered

by

nurs

ing-

care

insu

ranc

e

Facility Services

Functional Recovery Care Type

Early discharge Type



Leve

l

Community-based

Services

Mainly Care worker

Collaboration among Dr., Ns., PT.,OT.,ST.,CSW…

Varies with long-term care business type

Varies with long-term care business type

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Acute Term Rehabilitation

asia health and wellbeing initiative - home - jcietechnology of rehabilitation purpose cerebral...

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